How much rates vary
Facilitymedian $2,951 · 10th to 90th $575 to $13,804Professionalmedian $550 · 10th to 90th $56 to $891
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $977.24 Median $3,162.28 Typical High $6,025.60 | Facility | None | $977.24 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,000.00 | Professional | None | $794.33 | $977.24 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,230.27 | Professional | None | $891.25 | $912.01 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $537.03 Typical High $691.83 | Professional | None | $54.95 | $537.03 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,288.25 | Professional | None | $977.24 | $1,096.48 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,548.82 | Professional | None | $831.76 | $1,288.25 | $1,548.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,479.11 | Professional | None | $707.95 | $1,071.52 | $1,479.11 |
United Setting Facility Modifier None Typical Low $199.53 Median $2,951.21 Typical High $13,803.84 | Facility | None | $199.53 | $2,951.21 | $13,803.84 |
United Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,412.54 | Professional | None | $676.08 | $776.25 | $1,412.54 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $389.05 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $158.49 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $741.31 Typical High $741.31 | Professional | 54 · Surgery only | $588.84 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $117.49 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | 56 · Pre-op care only | $79.43 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $691.83 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $549.54 | $691.83 | $691.83 |
Where Utah sits
The same service costs 12.3 times more in Maine than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
ME $16,849MD $1,375
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.